Extracurricular Clinical Activity Forms and Extracurricular Research Activity Forms are required for any clinical or research activities that take place outside of the curriculum, such as shadowing, health fairs, or research that is NOT part of the FIRE module.  Forms must be submitted and approved PRIOR to the activity occurring.  Forms will not be approved retroactively.

Clinical Activities

Extracurricular Clinical Activity Form (Green Form)

This form is used for anything with a clinical component (such as volunteering at a free clinic).  In order for the student to be covered by liability insurance, the signature or approval of a UCF College of Medicine faculty member (core/adjunct/volunteer) must accompany the form.

International Clinical Activities

Students wishing to participate in international activities must obtain the approval of Dr. Judith Simms-Cendan PRIOR to submitting the form to the Office of Student Affairs.  Students should reach out to Dr. Judith Simms-Cendan at least EIGHT WEEKS prior to travel to ensure all requirements are in place.  For more information, visit the Global Health Program page.

Research Activities

Extracurricular Research Form (Gold Form)

This form is used for research OTHER THAN RESEARCH RELATED TO THE FIRE MODULE.  This does not apply to literature reviews.  If the student is working on finishing up a manuscript or other publication from research at a previous institution while at COM, a copy of the IRB approval letter must accompany this form.  For questions on IRB policies and procedures, please visit the UCF Institutional Review Board page.

Volunteer Activities

Extracurricular Volunteer Activities

For all other activities that do not have a research or clinical component, the above form can be utilized to track the event and hours earned.  Faculty approval is not required.  Completion of this form will be utilized to track service learning and other volunteer hours.

For any questions, please contact the Office of Student Affairs.